Faculty in this division include:

• Kevin Miller, M.D. - Fellowship at Center for Gynecologic Oncology and Pelvic Surgery (Los Gatos, California)
• Simon Patton, M.D. - Fellowship at University of South Florida

Description of the Resident Experience
Residents on the urogynecology rotation will assist with and/or observe the following: evaluation and treatment of bladder and bowel prolapse; urinary retention and/or incontinence; pelvic pain and dysuria; simple and complex urodynamics studies to evaluate the bladder filling and emptying function; cystourethroscopy and anoscopy as an office procedure; therapeutic procedures including periurethral bulking agent injection; abdominal and laparoscopic retropubic urethropexy; urethral slings; sacrocolpopexy; fistula repair; anal sphincter repair; and sacrospinous ligament fixation.

Resident Goals and Objectives:

• Residents learn to describe normal anatomic supports of the vagina, rectum, bladder, urethra and uterus/vaginal cuff and its embryological correlates including the bony pelvis, pelvic floor nerves and musculature and connective tissue
• Residents will be able to summarize the normal function of the lower urinary tract during filling and voiding phases and the physiologic mechanisms for urinary continence
• Describe the principal etiologies of pelvic floor defects, urinary incontinence and fecal incontinence including effects of pregnancy and delivery
• Identify anatomic defects associated with pelvic floor support disorders
• Characterize the major types of urinary incontinence
• Become familiar with evaluation and treatment approaches for chronic bladder pain syndrome/ interstitial cystitis
• Diagnose various voiding disorders
• Diagnose urinary tract fistulae that may involve pelvic organs as well as rectovaginal fistulae
• Become comfortable with placement of vaginal pessaries
• Become knowledgeable in the evaluation and treatment options of stress and urge incontinence
• Urethral diverticulum evaluation
• Diagnosis and treatment of acute chronic and recurrent urinary tract infections in pregnant and non-pregnant women
• Surgical treatment of pelvic organ prolapse
• Demonstrate understanding of normal bowel function and abnormal bowel function as it relates to pelvic floor pathophysiology
• Understand the methodology of the various urodynamic evaluations and interpretation of such testing